We describe a young adult male with fetal alcohol syndrome (FAS) who presented with a non-repetitive, major, genital self-mutilation necessitating urological intervention. On formal psychiatric evaluation, he did not have psychosis or suicidality. Most commonly, self-injury in developmental disability is less severe and more stereotypic; major-class self-mutilation is confined, generally, to psychosis. It is this discrepancy that is the unusual feature of our case.
Johnson, Joel P. M.D. (PGY4); Sugden, Steven M.D.; and Bourgeois, James A. O.D., M.D.
"A Major Event of Self-mutilation in a Patient with Fetal Alcohol Syndrome,"
Jefferson Journal of Psychiatry:
1, Article 3.
Available at: http://jdc.jefferson.edu/jeffjpsychiatry/vol21/iss1/3